Surgery or embolization for varicoceles in subfertile men.
@article{Kroese2012SurgeryOE, title={Surgery or embolization for varicoceles in subfertile men.}, author={Anja C. J. Kroese and Natascha M de Lange and John A. Collins and J L H Evers}, journal={The Cochrane database of systematic reviews}, year={2012}, volume={10}, pages={ CD000479 } }
BACKGROUND
A varicocele is a meshwork of distended blood vessels in the scrotum, usually left-sided, due to dilatation of the spermatic vein. Although the concept that a varicocele causes male subfertility has been around for more than 50 years now, the mechanisms by which a varicocele would affect fertility have not yet been satisfactorily explained. Neither is there sufficient evidence to explain the mechanisms by which varicocelectomy would restore fertility. Furthermore, it has been…
182 Citations
Surgical or radiological treatment for varicoceles in subfertile men.
- MedicineThe Cochrane database of systematic reviews
- 2021
Evaluating the effectiveness and safety of surgical and radiological treatment of varicoceles on live birth rate, adverse events, pregnancy rate, varicocele recurrence, and quality of life amongst couples where the adult male has avaricocele, and the female partner of childbearing age has no fertility problems concludes that surgical or radiologicaltreatment may improve pregnancy rates compared to delayed or no treatment.
Effect of Varicocelectomy on Male Infertility
- MedicineKorean journal of urology
- 2014
High-quality data from well-designed studies are needed to resolve unanswered questions and update current knowledge as well as define the best technique and also to define how to select the best candidates who will benefit from varicocele repair.
Spermatic vein embolization as a treatment for symptomatic varicocele.
- MedicineCanadian Urological Association journal = Journal de l'Association des urologues du Canada
- 2021
SVE is a safe, effective, and well-tolerated treatment for symptomatic varicocele, improving pain and quality of life.
Varicocele – a case for early intervention
- MedicineF1000Research
- 2016
Current evidence suggests early deleterious effects of varicocele on testicular function in some patients, and well-designed prospective trials are critical to delineate the true impact and role ofvaricocele repair on male infertility and hypogonadism in adult and adolescent men.
Management of Recurrent Varicocele
- MedicineVaricocele and Male Infertility
- 2019
The best management for patients with recurrent varicocele is under debate as the lack of randomized clinical trials comparing the outcomes of these different techniques hampers the ability to recognize the most effective treatment option.
Varicoceles and Hypogonadism
- Medicine
- 2014
Although several surgical and nonsurgical options for varicocele repair are available, microsurgical varicocelectomy is associated with the lowest rates of complications andvaricocele recurrence and is considered the gold standard method for varICOcele repair.
Subinguinal microsurgical varicocelectomy vs. percutaneous embolization in infertile men: Prospective comparison of reproductive and functional outcomes
- MedicineBasic and Clinical Andrology
- 2017
It is shown that percutaneous embolization seems to be an equivalent alternative to sub-inguinal microscopic ligation in terms of sperm quality improvement, pregnancy rate, and overall satisfaction with a slight advantage on post-operative morbidity.
Varicocele and male infertility
- MedicineNature Reviews Urology
- 2017
Current evidence suggests a beneficial effect of varicocelectomy on semen quality and pregnancy outcomes in couples with documented infertility only if the male partner has a clinically palpable varicocele and affected semen parameters.
Treatment strategy for the adolescent varicocele.
- MedicineThe Urologic clinics of North America
- 2010
Interventional Radiology of Male Varicocele: Current Status
- MedicineCardioVascular and Interventional Radiology
- 2012
It clearly emerges from this analysis that there is a need for randomized multicentre trials designed to compare the various surgical and percutaneous techniques, all of which are aimed at occlusion of the anterior pampiniform plexus.
References
SHOWING 1-10 OF 47 REFERENCES
Surgery or embolization for varicoceles in subfertile men.
- MedicineSao Paulo medical journal = Revista paulista de medicina
- 2013
There is evidence suggesting that treatment of a varicocele in men from couples with otherwise unexplained subfertility may improve a couple's chance of pregnancy.
Treatment of varicocele: counselling as effective as occlusion of the vena spermatica.
- MedicineHuman reproduction
- 1995
A controlled, randomized prospective study to address the question whether any treatment is more effective than no treatment in infertile patients with varicocele and find no significant differences in semen analysis and hormonal parameters between the two groups.
Varicocele repair: does it still have a role in infertility treatment?
- MedicineCurrent opinion in obstetrics & gynecology
- 2011
It is concluded thatvaricocele repair may be effective in men with subnormal semen analysis, a clinical varicocele and otherwise unexplained infertility, and Deleterious cofactors could also be reduced for the benefit of general health and fertility.
Prognosis of subfertility in men with corrected or uncorrected varicocele.
- MedicineJournal of andrology
- 1986
The prognosis was poor for men with less than 15% of spermatozoa with normal morphology, FSH levels higher than the mean + 3 SD of those values found in young fathers, and a fertility index below 3.0, whereas in subjects who achieved pregnancy within one year, pretreatment sperm characteristics were similar in both the corrected and uncorrected groups.
Varicocelectomy and male fertility: comparison of semen quality and recurrence of varicocele following varicocelectomy by two techniques.
- MedicineInternational journal of andrology
- 1980
Varicocelectomy was followed by significant improvement in sperm quality 3 to 9 months after operation, and improvement among the fertile men was more rapid than among the infertile men.
Does treatment of varicocele improve male fertility? Results of the ‘Deutsche Varikozelenstudie’, a multicentre study of 14 collaborating centres
- MedicineAndrologia
- 2002
There was no significant increase in pregnancy rate in the treated group, compared to the controls, the confidence interval being 20.8% to 15.7%.
Controlled trial of high spermatic vein ligation for varicocele in infertile men.
- MedicineFertility and sterility
- 1995
Laparoscopic surgery for pediatric varicoceles: Randomized controlled trial.
- MedicineJournal of pediatric surgery
- 2002
The clinical efficacy of LV is superior to traditional OV, and postoperative analgesic use was almost cut in half with LV.
Treatment of Varicocele for Male Infertility: A Comparative Study Evaluating Currently Used Approaches
- MedicineEuropean Urology
- 1998
The subinguinal approach disclosed a more prominent improvement in both semen concentration and motility in the 6- and 12-month follow-up evaluation when compared to the other techniques, and is believed to represent the more plausible approach when treating clinical varicocele.